This statement articulates the American Nurses Association’s (ANA)position with regard to the joint responsibilities of registered nurses and employers toreduce risks from nurse fatigue and to create and sustain a culture of safety, ahealthy work environment, and a work-life balance. Both registered nurses andemployers have an ethical responsibility to carefully consider the need for adequaterest and sleep when deciding whether to offer or accept work assignments, including on-call, voluntary, or mandatory overtime.